Teodorico G Exconde Sr.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35034427 Issued in OH

Practice address

18697 Bagley Road
Middleburg Heights, OH 44130

Phone

(440) 816-8740

Fax

(440) 816-4635

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Medical Care Corporation

  • General Acute Care Hospital
  • Middleburg Heights, OH
  • NPI 1740367762
  NPD (past)
• Uhhs Bedford

  • Internal Medicine Physician
  • Bedford, OH
  • NPI 1811933419
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184644544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74228",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44194",
            "telephone_number": "440-816-8740",
            "fax_number": "440-816-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18697 BAGLEY ROAD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-816-8740",
            "fax_number": "440-816-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXCONDE",
        "first_name": "TEODORICO",
        "middle_name": "G",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35034427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Ashley Fallon, DO
• Oksana Farro, AA
• Patricia Francine Fassih, MSW
• Joseph J Fath, M.ED, LPCC
• Emily Rachel Feckley, CDCA

• Surgery Physician in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.